ELLSWORTH MUNICIPAL HOSPITAL NPI 1588840466

NPI Information

NPI: 1588840466
Provider Name: ELLSWORTH MUNICIPAL HOSPITAL

Doing Business As: ELLSWORTH FAMILY MEDICINE

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
322 1/2 COLLEGE AVE
IOWA FALLS, IA
ZIP 50126
Phone: (641) 648-3202
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ELLSWORTH MUNICIPAL HOSPITAL is a primary care clinic center in Iowa Falls, IA. ELLSWORTH MUNICIPAL HOSPITAL NPI is 1588840466. The provider is registered as an organization entity type.
The provider Is Doing Business As Ellsworth Family Medicine.

The provider's business location address is:

322 1/2 COLLEGE AVE
IOWA FALLS, IA
ZIP 50126-106
Phone: (641) 648-3202
Fax: (641) 648-3203

The provider's authorized official is Douglas Eugene Morse .
The authorized official title is Ceo and has the following contact phone number (641) 648-7010.

The enumeration date for this NPI number is 1/10/2008 and was last updated on 12/3/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	18633	IOWA	Yes
2	363LF0000X	Nurse Practitioner	Family	A1221491	IOWA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1129163	MEDICAID	IOWA
2	I15574	OTHER	IOWA	MEDICARE GROUP
3	I15576	OTHER	IOWA	MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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